Individual
CLARA F HARDGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
417 15TH ST SW, ALBUQUERQUE, NM 87104-1062
(505) 259-0869
Mailing address
417 15TH ST SW, ALBUQUERQUE, NM 87104-1062
(505) 259-0869
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2901
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901
BOARD OF EXAMINERS FOR OCCUPATIONAL THERAPY LICENSE
NM
Enumeration date
07/30/2015
Last updated
12/13/2024
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